Provider First Line Business Practice Location Address:
413 E CALVERT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KARNES CITY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-780-2213
Provider Business Practice Location Address Fax Number:
830-780-2558
Provider Enumeration Date:
03/13/2007